 Wysłany: Pią 19:01, 25 Mar 2011 Temat postu: Amniotic fluid embolism with nursing _16880 |
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| Nursing of amniotic fluid embolism
Will total / min, confusion, limb peripheral cyanosis, general legislature Results are as follows: the input rescue, about 1500 milliliters of vaginal bleeding in the medical record a total of 6 hours About 1750 ml blood transfusion, patients lose a total of 8 hours, Yang, 25 years old, the sick man Chi fluid 1880 ml No. 11594, the anti-shock, to maintain heart and lung function, hospital diagnosis, pregnancy-induced hypertension, twins to be produced. To correct breathing difficulties, blood volume transmission and to add new blood coagulation people's homes with high blood pressure, accompanied by edema, proteinuria, a head of blood factors, anti-allergy, relieve pulmonary hypertension, corrected halo, vertigo symptoms. After sedation, blood pressure, Lee feces acidosis, prevention of renal failure and a series of first aid in the treatment of patients in stable condition. 2O days after admission, l8 hours of labor made completely clear. Later by anti-inflammatory and symptomatic treatment action, 2 {hours of no progress in labor, fetal heart sounds fast, has breaking treatment, wound healing I was recovered. Membrane, fetal distress, cesarean section decision. Nursing room came into operation, the patient perceived difficulty in breathing, when considering 1. Comprehensive, detailed observation of changes in condition, supine Pro twin syndrome, immediate surgery, intraoperative blood pressure and provide a reliable basis for clinical diagnosis, emergency treatment for the win when the situation down, but not much bleeding 'smooth out two. Baby, infant development well, the end of 30 minutes of surgery. 2. The immediate establishment of two or more intravenous infusion of blood pressure is still not picked up through completion of surgery, dropped to 9/TKPa, was being to ensure that blood transfusion, infusion, smooth delivery to a state of shock. Intravenous glucose in the operating room 25 200 to delay emergency treatment. Ml, 500 ml rapid intravenous low molecular weight were observed. 03. Close observation of the four vital signs, understand the heart minute, blood pressure rose to 12/8KPa, pulmonary function returns the state wards. Back to the ward, the patient was pale, hazy consciousness, blood 4. Master the methods and indications for administration. Pressure 12/8KPa, pulse 120 beats / min, in connection catheter 5. Oxygen pressure, and attention to its effects. And found that more than vaginal bleeding, blood quality thin, no condensate pan 6. Write access to content. Understanding of kidney function. Block, immediately report doctors to consider amniotic fluid embolism DIC form ~ f = 1, venipuncture in children Experience I ~ /) package Ji Hospital of Jilin Oilfield Yan Yan Chen employees over the years in the rescue of a critically ill children with clinical work,belstaff italia, good prerequisite for a small puncture in JLv, I can see d ~ JLV (IV) infusion did first guarantee in sunlight, at room temperature should be appropriate is an important route of administration. Clinical governance in the rescue (20 ~ C or so). Temperature is too low will lead to treatment of superficial blood vessels, in order to ensure timely medication, nutritional support and correct contraction affect V puncture, while the operator must position and maintain the quality of water and the balance of power solutions to J must quickly into the appropriate, non-shading , in addition to fatigue, only forced position, or line of V infusion, it can accurately do d ~ JLv wear will affect the success rate of puncture. Sting is very important. Second, the choice of a good V puncture site 【San Shu Ephemera strigata Mang t / a |
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